Susan M Mix, FNP in Medford, OR - Medicare Nurse Practitioner

Susan M Mix, FNP is a medicare enrolled "Nurse Practitioner - Family" in Medford, Oregon. Her current practice location is 760 Golf View Drive, Suite #200, Medford, Oregon. You can reach out to her office (for appointments etc.) via phone at (541) 618-4400.

Susan M Mix is licensed to practice in Oregon (license number 200750116NP) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1467647115.

Contact Information

	Susan M Mix, FNP
	760 Golf View Drive, Suite #200, Medford, OR 97504
	(541) 618-4400
	(541) 618-4406

Map and Direction

Provider's Profile

Full Name	Susan M Mix
Gender	Female
Speciality	Nurse Practitioner - Family
Location	760 Golf View Drive, Medford, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1467647115
Provider Enumeration Date: 09/06/2007
Last Update Date: 09/26/2013

Medicare PECOS Information:

PECOS PAC ID: 1456438340
Enrollment ID: I20080402000415

Medical Identifiers

Medical identifiers for Susan M Mix such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1467647115	NPI	-	NPPES
227698	Medicaid	OR

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	200750116NP (Oregon)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Susan M Mix allows following entities to bill medicare on her behalf.

Entity Name	Renal Care Consultants Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1740344597 PECOS PAC ID: 9830179134 Enrollment ID: O20040726000436

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Susan M Mix is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Susan M Mix, FNP 760 Golf View Drive, Suite #200, Medford, OR 97504 Ph: (541) 618-4400	Susan M Mix, FNP 760 Golf View Drive, Suite #200, Medford, OR 97504 Ph: (541) 618-4400

Reviews and Comments

Nurse Practitioner Nurses in Medford, OR

Carla Ann Cochran, NP-C, FNP, AGACNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 555 Black Oak Dr., Suite 300, Medford, OR 97504 Phone: 903-463-0003
Christine Ann Stanek, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2859 State Street, Suite 101, Medford, OR 97504 Phone: 541-282-6505 Fax: 541-282-6520
Lena Lori Varner, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 520 Medical Center Dr Ste 300, Medford, OR 97504 Phone: 541-930-8907 Fax: 541-245-4820
Mrs. Lauren E Hodgdon, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1698 E Mcandrews Rd Ste 200, Medford, OR 97504 Phone: 541-732-5537
Kaitlin Eileen Stapleton, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2900 State St, Medford, OR 97504 Phone: 541-779-1672
Elizabeth L Pethtel, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3170 State St, Medford, OR 97504 Phone: 541-864-8900 Fax: 541-245-3315
Matthew Filoon, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3011 E Barnett Rd, Medford, OR 97504 Phone: 541-789-4673 Fax: 541-789-2121

Susan M Mix, FNP - Medicare Nurse Practitioner in Medford, OR